Insurance Authorizations Manager - Avon, United States - The Steadman Clinic

The Steadman Clinic Avon, United States

3 weeks ago

Description

Join our amazing team at The Steadman Clinic, and be an integral part of a cutting-edge organization that is amongst the best in the world at what they do.

This is an excellent opportunity to take your health care career to the next level in a unique and highly valuable role, or kick it off with a world-class organization in an amazing facility.

Vail, Colorado is one of our nation's iconic mountain destinations, and highly desirable spot to live if you love the outdoors.

This position is eligible for our excellent benefit packages and perks (including a wellness benefit you can use for your ski pass), and strong work-life harmony.

This is an IN OFFICE role.

Manages all aspects of the organizations insurance operations including the daily activities of Patient Access Medical Insurance and Prior Authorization departments to ensure high quality customer service and improve revenue cycle activities for prior authorizations, documentation, billing, and claims.

Understands regulatory and third-party payer guidelines for admissions, discharges, ambulatory visits, diagnostic imaging, inpatient and outpatient services, billing, to ensure authorization functions and staff remain in regulatory compliance.

Works collaboratively with TSC and OCP management team.

Classification:

This is a full-time, year round, exempt position with benefits.

Location:

Avon, CO.

Tentative start date:

Summer Applications for this position will be accepted until 30 days from the posting date. If the position is not filled during this time, the application window will be extended. Candidates who are selected to move through the interviewing process will be contacted directly.

Major Job Responsibilities/Essential Functions:

Ensure that budget guidelines are met, and to provide appropriate resources based on the department volumes and activities
Oversees training, education, and staff development
Promotes cross training and develops staff to enhance job function and responsibilities so that maximum flexibility within Patient Access is achieved
Coordinates and communicates process updates and flows with internal departments at TSC and external departments, to ensure that Prior Authorizations are in place by the patient's service date to increase patient satisfaction, reimbursement, and problem resolution
Takes an active role in denials reduction efforts, timely filing expectations for registration and authorization claim error resolution and serves as a subject matter expert for Revenue Cycle operations for registration and authorizations
Continuously streamlines processes/systems to achieve maximum effectiveness
Ensures that all employees are properly oriented and trained in operations and equipment, and annual competencies and certifications, licensures and education requirements are correct
Ensures the accuracy and completeness of patient information entered into the EMR system
Enforces various organizational policies consistently
Manages daily activities of the Insurance/Authorization departments to ensure quality and quantity of work is maintained, and information with ordering and performing departments regarding patient authorizations is properly communicated in a timely manner
Operates cost-effective departments in by monitoring labor hours and supply expenses
Ensures adequate staffing levels are maintained to provide timely patient service and submission of authorizations
Performs department audits to identify authorization errors and provides continuous written and verbal feedback to staff and management regarding audit outcomes
Assigns and delegates tasks as needed in the absence of employees, so workflow is maintained
Performs high level of patient service from all areas of responsibility
Assist staff with dealing with patient service and insurance service issues, utilizing Payer Contracting and Insurance Payer Representatives when needed
Maintains active involvement with all regulatory compliance functions by maintain up to date working knowledge of latest healthcare trends in authorization, insurance verification and benefits, reimbursement, claims denials, and hospital/clinical management
Identifies, plans and implements processes that align with state and government regulations as needed
Monitor and collaborate on workflows and processes to ensure that operations e.g. registration, authorization, financial counseling, pre-service estimations and collections, and all other Patient Access Functions are optimizing the best outcomes for patients and the organization
Lead employees with accountability of expectations by mentoring, coaching, discipline, etc.
Perform audits to identify authorization errors while providing feedback to employees
Manages budget and productivity targets within the department
Requirements:

Bachelors degree in Accounting, Healthcare Administration or equivalent preferred
3-5 years experience in insurance authorizations required
Orthopedic billing and coding experience preferred
Experience using an EHR system required
Medical coding certification preferred such as CCS
Knowledge of third-party physician specialty billing, contractual and compliance regulations, along with a demonstrated understanding of automated processes and claims submission
Considerable knowledge of medical office operations, professional fee billing, reimbursement and third-party payer regulation and medical terminology is required
Strong communication skills and ability to successfully deliver as appropriate, crucial conversations
Ability to understand insurance authorization process flow, identify root cause analysis for issues, develop applicable, actionable and timely performance improvement plans
Strong problem-solving skills and ability to make timely decisions in a fast-paced environment
Ability to work, plan, research and conduct projects with minimal supervision
Proven ability to interface well with leadership and physicians to engender trust and confidence

Benefits:

Health Insurance (medical, dental, vision)
Company 401k Contribution
Paid Time Off
Sick Time
FAMLI Leave
Paid Holidays
Life Insurance
Short and Long Term Disability Insurance; AD&D; Hospital Indemnity
Referral Program Incentive
Parking Available
Discretionary Bonus Program and Ski Pass Benefit
And more

We are an Equal Opportunity Employer.

We are committed to equal treatment of all employees without regard to race, national origin, religion, gender, age, sexual orientation, veteran status, physical or mental disability or other basis protected by law.

Insurance Authorizations Manager

2 weeks ago

The Steadman Clinic Avon, United States

Job Type · Full-time · Description · Join our amazing team at The Steadman Clinic, and be an integral part of a cutting-edge organization that is amongst the best in the world at what they do. This is an excellent opportunity to take your health care career to the next level in ...
Insurance Authorizations Manager

3 weeks ago

The Steadman Clinic Avon, United States

Join our amazing team at The Steadman Clinic, and be an integral part of a cutting-edge organization that is amongst the best in the world at what they do. This is an excellent opportunity to take your health care career to the next level in a unique Insurance, Authorization, Man ...
Outside Sales Consultant

2 weeks ago

SYSCO Vail, United States Full time

Company: · US1152 Buckhead Meat of Denver, Inc.Zip Code: · 80229Minimum Years of Experience: · 2 YearsEmployment Type: · Full TimeTravel Percentage: · Up to 50%Compensation Range: · $44, $82,500.00The compensation range provided is in compliance with state specific laws. Factor ...
Sales Consultant

2 weeks ago

SYSCO Vail, United States Full time

Company: · US0059 Sysco Denver (Division of USA I)Zip Code: · 80238Minimum Years of Experience: · 0-1 YearsEmployment Type: · Full TimeTravel Percentage: · Up to 25%Compensation Range: · $59, $82,800.00The compensation range provided is in compliance with state specific laws. F ...
Sales Consultant

2 weeks ago

SYSCO Vail, United States Full time

Company: · US1642 Bellissimo Distribution, LLC - Greco ColoradoZip Code: · 80011Minimum Years of Experience: · 1 YearEmployment Type: · Full TimeTravel Percentage: · Up to 50%Compensation Range: · $59, $82,800.00The compensation range provided is in compliance with state specif ...
Spa Concierge

1 week ago

Marriott International, Inc Avon, United States

Additional Information Year-Round, Part-Time, Pay: $21.50/hour, Shift Meal, Parking · Job Number · Job Category Spa · Location The Ritz-Carlton Bachelor Gulch, 0130 Daybreak Ridge, Avon, Colorado, United States VIEW ON MAP · Schedule Part-Time · Located Remotely? N · Relocation? ...
Loss Prevention Officer

3 weeks ago

Marriott International, Inc Avon, United States

Additional Information Overnight Shift, Pay: $24.00/hour, Full-Time, Benefits, Free Parking, Complimentary Meal · Job Number · Job Category Loss Prevention & Security · Location The Ritz-Carlton Bachelor Gulch, 0130 Daybreak Ridge, Avon, Colorado, United States VIEW ON MAP · Sch ...
Loss Prevention Officer

3 days ago

Marriott International, Inc Avon, United States

Additional Information Full-time, Pay: $23.75/hour, Free Parking, Free Meal, Benefits · Job Number · Job Category Loss Prevention & Security · Location The Ritz-Carlton Bachelor Gulch, 0130 Daybreak Ridge, Avon, Colorado, United States VIEW ON MAP · Schedule Full-Time · Located ...
Front Desk Agent

3 weeks ago

East West Family Of Companies Avon, United States Part time

· Be part of our team at Falcon Point Resort, under the management of East West Hospitality Falcon Point Resort, located on the shores of Nottingham Lake in Avon, CO, offers 58 Vacation Ownership units. · We're in search of a Part Time Front Desk Agent to join our team. If you ...
Appointment Scheduler

3 weeks ago

The Steadman Clinic Avon, United States

Job Type · Full-time · Description · Join our amazing team at The Steadman Clinic, and be an integral part of a cutting-edge organization that is amongst the best in the world at what they do. This is an excellent opportunity in health care to explore amazing career opportunities ...
Director of Nursing, Full-time, Remote

1 week ago

Center for Wound Healing Avon, United States Full time

Job Description · Job DescriptionDirector of Nursing · The Center for Wound Healing & Hyperbaric Medicine (CFWH) provides management and consulting services to healthcare providers in the area of wound care and hyperbaric medicine. By focusing on the needs of the patients as well ...
pharmacy/pharmacist-intern

3 weeks ago

Citymarket Avon, United States

Create an outstanding customer experience through exceptional service. Establish and maintain a safe and clean environment that encourages our customers to return. Assist the department manager in reaching sales and profit goals established for the department, and monitor all est ...
Advanced Line Cook

3 weeks ago

East West Family Of Companies Avon, United States

· Join our team at renowned The Westin Riverfront Resort & Spa, managed by East West Hospitality. · We are looking for Advanced Line Cooks to work with a variety of cuisines and techniques in our fast-paced kitchen. If you possess demonstrated knife skills, excel at time manage ...
Spa Concierge

5 days ago

Marriott International Avon, United States

Job Description · POSITION SUMMARY · Schedule services for individuals and large groups using spa/salon reservations software system. Call guests to confirm scheduled services. Answer questions about available services. Update the reservations/cancellations list throughout the da ...
Engineer FE/EIT

1 week ago

Martin/Martin Consulting Engineers Avon, United States

Job Type · Full-time · Description · Martin/Martin, Inc. is looking for a civil engineer to join our Civil Engineering Group in our Avon, Colorado office. This engineer will work for multiple project managers on a broad range of project types. The position would offer the oppor ...
Engineer FE/EIT

3 weeks ago

Martin/Martin Consulting Engineers Avon, United States

Job Type · Full-time · Description · Martin/Martin, Inc. is looking for a civil engineer to join our Civil Engineering Group in our Avon, Colorado office. This engineer will work for multiple project managers on a broad range of project types. The position would offer the oppor ...
Mechanical Engineer III

3 weeks ago

RTM Engineering Consultants Avon, United States

Position: Mechanical Engineer IIILocation: Avon, CO / Lakewood, CO Years of Experience: 3+ YearsAbout RTM: RTM Engineering Consultants is an MEP, Civil and Structural engineering firm that goes beyond the conventional consulting role. We forge deep partnerships with our clients b ...
Project Engineer

3 weeks ago

Martin/Martin Consulting Engineers Avon, United States

Job Type · Full-time · Description · Martin/Martin, Inc. is looking for a civil project engineer to join our Civil Engineering Group in our Avon, Colorado office. This engineer will work under the direction of a Senior Engineer on a broad range of project types. The position wo ...
Project Engineer

1 week ago

Martin/Martin Consulting Engineers Avon, United States

Job Type · Full-time · Description · Martin/Martin, Inc. is seeking a talented Civil Project Engineer to join our Civil Engineering Group at our Avon, Colorado office. This role offers a unique opportunity to work on diverse site development projects, including healthcare, mult ...
Mechanical Engineer III

2 weeks ago

RTM Engineering Consultants Avon, United States

Position: Mechanical Engineer III · Location: Avon, CO / Lakewood, CO · Years of Experience: 3+ Years · About RTM: · RTM Engineering Consultants is an MEP, Civil and Structural engineering firm that goes beyond the conventional consulting role. We forge deep partnerships with ...